Search results for "Sepsis"
Opt-out protocol increased antibiotic discontinuations in suspected sepsis
Inpatients on broad-spectrum antibiotics despite negative blood cultures were screened with a 23-item safety check and then randomized to usual care or messages to their prescribing clinicians encouraging discontinuation of antibiotics.
https://acphospitalist.acponline.org/archives/2022/10/05/opt-out-protocol-increased-antibiotic-discontinuations-in-suspected-sepsis.htm
5 Oct 2022
New studies find no benefit to vitamin C or fluid restriction in sepsis
One international trial found higher 28-day mortality in ICU patients randomized to a vitamin C infusion compared to placebo, while another showed that 90-day mortality rates were similar when septic shock patients were treated with a standard or restrictive IV fluid strategy.
https://acphospitalist.acponline.org/archives/2022/06/22/free/new-studies-find-no-benefit-to-vitamin-c-or-fluid-restriction-in-sepsis.htm
22 Jun 2022
Registered nurse staffing associated with sepsis mortality risk
Each additional registered nurse hour per patient day was associated with a 3% decrease in the odds of 60-day mortality in a cross-sectional study of about 700,000 Medicare beneficiaries admitted with a primary diagnosis of sepsis in 2018.
https://acphospitalist.acponline.org/archives/2022/06/01/registered-nurse-staffing-associated-with-sepsis-mortality-risk.htm
1 Jun 2022
VR training appears effective for teaching management of clinical deterioration
Medical and nursing students had similar stress responses and performance outcomes when learning to manage sepsis patients via virtual reality (VR) or face-to-face simulation.
https://acphospitalist.acponline.org/archives/2022/05/11/vr-training-appears-effective-for-teaching-management-of-clinical-deterioration.htm
11 May 2022
The road ahead for hospital medicine
During his plenary at SHM Converge 2022, Robert M. Wachter, MD, MACP, shared his thoughts on the future of hospital medicine, including changes in patient complexity and hospital finance, the catch-22 of hospital at home, and the potential impacts of technology.
https://acphospitalist.acponline.org/archives/2022/04/20/the-road-ahead-for-hospital-medicine.htm
20 Apr 2022
Patient deterioration alerts didn't improve mortality or length of stay in trials
According to a new systematic review, pre-post studies have found benefits from using health information technology for early detection of inpatient deterioration, but randomized controlled trials have shown no significant changes from such interventions.
https://acphospitalist.acponline.org/archives/2022/04/20/patient-deterioration-alerts-didnt-improve-mortality-or-length-of-stay-in-trials.htm
20 Apr 2022
Infected femoral closure device after cardiac catheterization
A patient presented with cellulitis at a vascular access site 10 days after undergoing cardiac catheterization.
https://acphospitalist.acponline.org/archives/2022/03/09/free/brief-case-infected-femoral-closure-device.htm
9 Mar 2022
Guidelines not always followed in patients with CAP
A study of data from 177 U.S. hospitals found that almost all patients admitted with community-acquired pneumonia (CAP) received blood cultures and less than a quarter were tested for influenza.
https://acphospitalist.acponline.org/archives/2022/03/02/guidelines-not-always-followed-in-patients-with-cap.htm
2 Mar 2022
Metformin during hospitalization associated with improved outcomes in type 2 diabetes and sepsis
In a retrospective cohort study in Pennsylvania, adults with type 2 diabetes and sepsis who were exposed to metformin during hospitalization had lower 90-day mortality and better kidney outcomes than those who were not.
https://acphospitalist.acponline.org/archives/2022/02/16/metformin-during-hospitalization-associated-with-improved-outcomes-in-type-2-diabetes-and-sepsis.htm
16 Feb 2022
Risk for poor outcomes may be higher in previously healthy patients hospitalized for sepsis
While 97.4% of patients hospitalized for community-onset sepsis had preexisting comorbid conditions, those who were healthy before admission had higher short-term mortality rates in a recent study.
https://acphospitalist.acponline.org/archives/2022/01/26/free/risk-for-poor-outcomes-may-be-higher-in-previously-healthy-patients.htm
26 Jan 2022